Breaking the Cycle: How to Turn Conflict Into Collaboration When You and Your Patients Disagree / Edition 1

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Overview

When physician-patient conflicts arise they can lead to an impasse over issues as simple as prescribing antibiotics for a cold or as complicated as end-of-life care leaving physicians feeling frustrated and helpless. Breaking the Cycle explains how physicians can understand, approach, and resolve doctor patient conflict in a way that breaks down barriers and builds stronger, more gratifying relationships. Inspired by the authors' experience with a twelve-year-old girl who struggled to take life-saving medication and based on principals and proven techniques from the field of family therapy, the authors present a unique approach to the problem of doctor patient conflict. This practical guide focuses on how changes in a physician's thinking can improve challenging interactions.

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Editorial Reviews

The Wall Street Journal
Surveys have shown that doctors consider 15% to 25% of their patient encounters difficult, and that can hurt the quality of medical care. Some difficult patients simply need to be approached differently. The American College of Physicians, which published "Breaking the Cycle" is promoting the book to doctors and training programs as a roadmap for dealing with difficult encounters.
—Laura Landro
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Product Details

  • ISBN-13: 9781934465189
  • Publisher: American College of Physicians
  • Publication date: 4/1/2009
  • Edition number: 1
  • Pages: 250
  • Sales rank: 1,112,516
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.50 (d)

Table of Contents

Introduction ix

Part I Seeing the Cycle

1 Doctor Knows Best (Sometimes): The "Physician-as-Expert" Model 3

Part II Understanding Unproductive Cycles in Relationships

2 The Harder I Try, the Worse it Gets: The Symptomatic Cycle 13

3 How to Begin: Building Collaborative Relationships 27

4 An Ounce of Prevention: How to Avoid Impasses with Patients and their Families 45

Part III Responding to Difficult Relationships

5 When All You Know Isn't Enough: Dealing With Chronic Illness 59

6 "You Are Not Helping Me!" 71

7 Pediatrics: Little People, Big Problems 81

8 "You Have to Save My Little Girl!": Crisis in The Intensive Care Unit 97

9 Ethical Dilemmas in Medicine: Or Are They? 113

10 It's All in Your Head: Patients Seeking Medical Solutions to Non-Medical Problems 127

Afterword 147

Index 149

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